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Minerva Urol Nephrol ; 73(5): 672-673, 2021 10.
Artículo en Inglés | MEDLINE | ID: mdl-32003206

RESUMEN

The management of a ureteral orifice injury occurring during robotic radical prostatectomy (RARP) represents a challenge for urologists. Several techniques have been proposed to treat an intraoperative injury, but intraoperative positioning of a DJ stent represents the most common treatment in cases of a partial injury of the ureteral orifice. We present a technique to ensure the successful outcome in cases of a partial detachment of the ureter during RARP. When the orifice is identified after the incision of the bladder neck and it appears very close to the anastomosis line setting up a partial detachment of the ureter, before implanting a DJ stent, one tip could be to perform a small incision of the anterior wall of the orifice to spatulate it and then proceeding to a short slip of the ureter: the eversion of the mucosa - thus creating a sort of "folded shirt cuff" - allows the fixation of the ureter to the bladder wall. We successfully performed this technique in two cases of RARP.


Asunto(s)
Procedimientos Quirúrgicos Robotizados , Robótica , Uréter , Humanos , Masculino , Próstata , Prostatectomía/efectos adversos , Procedimientos Quirúrgicos Robotizados/efectos adversos , Uréter/cirugía
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